NPI | 1174869747 |
---|---|
Former Name | LAUREN PRENTICE BARTLING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MS 902874) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 191795) |
163W00000X Registered Nurse (Licence: GA 209764) | |
363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TN 17396) | |
Enumeration Date | 2012-12-29 |
Last Update Date | 2023-06-15 |